0001140361-16-057591.txt : 20160314
0001140361-16-057591.hdr.sgml : 20160314
20160314135320
ACCESSION NUMBER: 0001140361-16-057591
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160311
FILED AS OF DATE: 20160314
DATE AS OF CHANGE: 20160314
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SURREY BANCORP
CENTRAL INDEX KEY: 0001229146
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 593772016
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 199 NORTH RENFRO STREET
CITY: MOUNT AIRY
STATE: NC
ZIP: 27030
BUSINESS PHONE: 3367833911
MAIL ADDRESS:
STREET 1: 199 NORTH RENFRO STREET
CITY: MOUNT AIRY
STATE: NC
ZIP: 27030
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ASHBY EDWARD C III
CENTRAL INDEX KEY: 0001245215
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-50313
FILM NUMBER: 161503273
4
1
doc1.xml
FORM 4
X0306
4
2016-03-11
0
0001229146
SURREY BANCORP
SYRB
0001245215
ASHBY EDWARD C III
SURREY BANCORP
P.O. BOX 1227
MOUNT AIRY
NC
27030
1
1
0
0
President & CEO
Common Stock
2016-03-14
2016-03-11
4
P
0
850.00
11.00
A
82355
D
Common Stock
55748
I
Held in an IRA for Mr. Ashby
Common Stock
5016
I
Held by Wife
Common Stock
939
I
Trustee for grandson
Common Stock
451
I
Trustee for granddaughter
Series A 4.5% Convertible Cumulative Perpetural Preferred
Common Stock
11684
5090
D
Series D 5.0% Convertible Non-cumulative Perpetual Preferred
Common Stock
19420
17655
D
Convertible into common stock
Perpetual Preferred Stock
Series A 4.5% Convertible Non-cumulative Perpetual Preferred Stock is convertible into 2.2955 shares of common stock per share
Series A 5.0% Convertible Non-cumulative Perpetual Preferred Stock is convertible into 1.1000 shares of common stock per share
Mark H Towe POA for Edward C. Ashby, III
2016-03-14